For me, it was new meds, sleep meds, Prazosin (an alpha-blocker), and very intensive cognitive behavioral mod therapy. The meds helped me sleep and reduce how reactive I was. The therapy helped me change the way I reacted to things when I was awake.

But it is one step at a time... one day at a time.

I still trigger a lot, sometimes worse than other times. But I have learned a lot of coping and calming methods in therapy. The key to a lot of my coping is finding ways to distract myself from the things that bother me.